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Prone w/legs extended (contracted?

Yes/no)

Yes: Contracted (perform head turns)

No difference (perform head turns)

No Change with head turns (flex knees to 90)

Cervical syndrome = Contracted leg appears to lengthen

No changes

(flex knees to 90)

B Cervical Syndrome = changes with both head turns

(-) Derifield = Contracted leg stays short in flexion

(+) Derifield = contracted leg gets longer in knee flexion

Treat C-spine contralateral to head turn that decreases the discrepancy

Contracted limb observed (perform head turns)

Normal = no changes

Treat anterior occipital fault

Treat ipsilateral antero-inferior rotated sacrum

Treat ipsilateral posteriorly rotated ilium

X-Derifield = change with head turn

Treat C-spine contralateral to head turn that decreases the discrepancy

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